123 ABCS DAY CARE LLC

Noncompliance Area: AT THE TIME OF THE UNANNOUNCED INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED 2 PACK-N-PLAYS, WITH A CHILD IN EACH. BOTH PACK-N-PLAYS WERE UP AGAINST A WALL ON 2 SIDES AND A CHAIR ON THE OTHER SIDE. 2 CHILDREN WERE ALSO OBSERVED, EACH LAYING ON A COT. THE COTS WERE DIRECTLY NEXT TO EACH OTHER ON ONE SIDE AND AGAINST FURNITURE ON ANOTHER SIDE.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Noncompliance Area: AT THE TIME OF THE UNANNOUNCED MONITORING INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE EMERGENCY CONTACT FORM FOR CHILD #1 HAD NOT BEEN UPDATED WITHIN THE LAST 6 MONTHS. (DATED 9/4/18)

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information

Noncompliance Area: AT THE TIME OF THE UNANNOUNCED MONITORING INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE HEALTH REPORT FOR CHILD #1 & 2 WERE PROVIDED MORE THAN 12 MONTHS AGO. (DATES: #14/3/18 & #2 2/22/18)

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Noncompliance Area: AT THE TIME OF THE UNANNOUNCED INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT TWO INFANTS WERE SITTING IN CAR SEATS UPON ARRIVAL AND REMAINED IN THE CAR SEAT UNTIL THEY FELL ASLEEP.

Correction Required: Infants and toddlers shall be provided stimulation by being held, rocked, talked to, played with and carried.

Noncompliance Area: ON APRIL 4, 2019, CHILD #1 WAS INSIDE THE FACILITY WITH A STAFF PERSON #1 AND WAS NOT BEING SUPERVISED, ALLOWING THE CHILD THE OPPORTUNITY TO LEAVE THE FACILITY PREMISES FOR A TIME OF 12-45 MINUTES. THE CHILD WAS FOUND AT THE CVS STORE THAT WAS DOWN AND ACROSS A 6- LANE STREET .

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in 3290.51-3290.52 (relating to maximum number of children; and staff:child ratio). TIERED LIS: The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Noncompliance Area: AT THE TIME OF THE UNANNOUNCED INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE TWO INFANTS AT THE FACILITY WERE ALSEEP IN THEIR CAR SEATS UNTIL THE OWNER WAS TOLD THAT THEY ARE NOT ALLOWED TO SLEEP IN THE CAR SEATS.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Noncompliance Area: AT THE TIME OF THE UNANNOUNCED INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED MEDICINE IN A ZIP-LOCK BAG SITTING ON THE SOFA. WHEN ASKED ABOUT IT THE OWNER STATED THAT SHE JUST REMOVED IT FROM THE CHILD'S CAR SEAT AND PUT IT THERE.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Noncompliance Area: AT THE TIME OF THE UNANNOUNCED INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED A BABY BOTTLE SITTING ON THE CHANGING TABLE THAT APPEARED TO HAVE BEEN USED

Correction Required: Food that has been previously served to a person or returned from a table shall be discarded.

Noncompliance Area: AT THE TIME OF THE UNANNOUNCED INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THERE WERE NO FEEDING SCHEDULES FOR EITHER OF THE 2 INFANTS IN CARE.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Noncompliance Area: AT THE TIME OF THE UNANNOUNCED INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED A BABY BOTTLE SITTING ON THE CHANGING TABLE THAT WAS NOT LABELED WITH A CHILD'S NAME.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Noncompliance Area: AT THE TIME OF THE UNANNOUNCED INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE 2 INFANTS AT THE FACILITY CHILD #1 & #2 DID NOT HAVE A FILE AT THE FACILITY.

Correction Required: An operator shall establish and maintain an individual record for each child enrolled in the facility.

Noncompliance Area: AT THE TIME OF THE UNANNOIUNCED INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE FIRST -AID KIT IN THE FRONT CLASSROOM WAS MISSING GLOVES AND IN THE BACK CLASSROOM WAS MISSING GLOVES AND SOAP.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICAITON REPRESENTATIVE OBSERVED THAT THE EMERGENCY CONTACT FORM FOR CHILD #5 DID NOT HAVE THE MA POLICY COVERAGE AND POLICY NUMBER LISTED.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT CHILD #1 HAD A HEALTH ASSESSMENT ON FILE OLDER THAN 12 MONTHS.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED HAND SANITIZER ON A DESK THAT WAS ACCESSIBLE TO CHILDREN.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: During the inspection on the refrigerator measured 50 F.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45 F or below. An operating thermometer shall be placed in the refrigerator.

Noncompliance Area: During the inspection on 7/12/18 the front classroom did not a daily schedule.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

Noncompliance Area: Ongoing non-compliance- During the inspection on 4/13/18 staff persons #2 and 3 were observed outside eating pizza while 5 children were inside sleeping in the front room unsupervised.

Correction Required: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Noncompliance Area: During the inspection on 7/12/18 the file record for child #5 did not include a completed financial agreement form.

Correction Required: An agreement shall be signed by the operator and the parent.

Noncompliance Area: During the inspection on 7/12/18 the file records for child #1,3,4,5 did not include a completed emergency contact form.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Noncompliance Area: During the inspection on 7/12/18 the file records for child #3 and 4 did not include a current health assessment.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Noncompliance Area: During the inspection on 7/12/18 the file record for child#5 did not include a review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Noncompliance Area: During the inspection on 7/12/18 the file records for child #2 and 3 did not include signed parental consent for emergency medical care for the child and signed parental consent for administration of minor first-aid procedures by facility staff.

Correction Required: A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: During the inspection on 7/12/18 the file records for child #3 did not include signed parental consent for transportation, walking excursions, swimming and wading.

Correction Required: A child's record must contain signed parental consent for transportation, walking excursions, swimming and wading.

Noncompliance Area: During the inspection on 7/12/18 the first-aid kits were missing tweezers, tape, scissors, soap and band-aids.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Noncompliance Area: During the inspection on 3/12/18 the facility did not a daily schedule posted.

Correction Required: The written plan of daily activities and routines shall be posted in a traffic area used by parents.

Noncompliance Area: During the inspection on 3/12/18 4 children were observed alone in the back area for approximately one minute.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in 3290.51-3290.52 (relating to maximum number of children; and staff:child ratio).

Noncompliance Area: During the inspection on 3/12/18 the file records child #1 and 4 did not include a completed financial agreement form.

Correction Required: An agreement shall be signed by the operator and the parent.

Noncompliance Area: During the inspection on 3/12/18 the file records for child #1 ,3 and 4 did not include a completed emergency contact form.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Noncompliance Area: During the inspection on 3/12/18 the file record for child #3 did not include a current health assessment.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Noncompliance Area: During the inspection on 3/12/18 the file record for child#1 did not include a review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Noncompliance Area: During the inspection on 3/12/18 the file records for child #2 and 4 did not include signed parental consent for emergency medical care for the child and signed parental consent for administration of minor first-aid procedures by facility staff.

Correction Required: A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: During the inspection on 3/13/18 the file records for staff person #3 and 4 did not include emergency plan training.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training.

Noncompliance Area: During the inspection on 3/12/18 staff person #3 and 4 were not directly supervised at all times. Staff person # 3 was observed with four children alone for approximately 20 minutes. Staff person was observed with 3 children alone for approximately five minutes.

Correction Required: A volunteer shall be 16 years of age or older and shall be directly supervised at all times.

Noncompliance Area: During the inspection 3/12/18 the file records for staff person # 1, 2 did not include annual biennial minimum of 12clock hours of child care training.

Correction Required: A staff person shall obtain an biennial minimum of 12 clock hours of child care training.

Noncompliance Area: During the inspection on 3/12/18 the file record for staff person #3 did not include a copy of requests for the criminal history record and proof of submission for fingerprints for FBI clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement, mandated reporter training and a copy of the completed clearance information required under the CPSL.

Noncompliance Area: During the inspection on 3/12/18 the facility did not have the fire evacuation plans posted.

Correction Required: Fire evacuation plans shall be developed and posted.

Noncompliance Area: On 3/22/27, at approximately 4pm, 2 preschool children were observed being cared for outdoors by a volunteer with no staff person present supervising the children. A volunteer is not considered a staff person.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in 3290.51-3290.52 (relating to maximum number of children; and staff:child ratio). Children must be supervised at all times. Ensure that children are supervised by a staff person at all times.

Noncompliance Area: Written parental information to be given to parents at the time of enrollment did not include the facilitys policies on supervision, night care and clothing.

Correction Required: The operator shall review with the parent, at the time of application, the facility`s general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.At the time of enrollment, a parent shall receive in writing the facility`s general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements. Amend the parent handbook to include written supervision policies in accordance with 55 PA Code 3270.90 regulations related to supervision of children, night care and clothing. Submit a copy of the amended parent handbook for verification of compliance.

Noncompliance Area: Two children have been enrolled for more than 60 days and their record did not contain a current, up-to-date health report.(#1 and #5)

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. Obtain and submit a current up-to-date health report for the indicated children. Ensure that all childrens records include a current, up-to-date health report within 60 days of enrollment.

Noncompliance Area: Two children's records did not contain a health report completed within the past 12 months. (#3 and #4)

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. Obtain and submit a current up-to-date health report for the indicated child. Ensure that all childrens records include a current up-to-date health report as specified in his regulation.

Noncompliance Area: Several children's records did not contain emergency contact and financial agreement information that had been updated within the past 6-months. (#1, #2, #3,#4 and #5)

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information. Obtain and submit a written copy of the current up-to date emergency contact and financial agreement information for the identified children. Ensure that this information is updated every 6 months for all enrolled children as specified.

Noncompliance Area: One facility person's record did not contain written verification of initial emergency plan training. (#2)

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training. Obtain and submit written verification of initial/annual emergency plan training for the identified staff person. Ensure that all facility persons receive emergency plan training at the time of initial employment, on an annual basis and at the time of each plan update as specified.

Noncompliance Area: On 3/22/17, at approximately 4pm, a volunteer was observed caring for children alone outdoors without being supervised by a staff person. (facility person #2)

Correction Required: A volunteer shall be 16 years of age or older and shall be directly supervised at all times. Revise and submit written policies and procedures requiring a volunteer to be supervised at all times. Ensure that volunteers are supervised by a staff person at all times.

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): Two facility person's records did not contain the required CPSL hiring documents. (#1-no signed DISCLOSURE STATEMENT) (#2- volunteer-no CHILD ABUSE)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: A facility person`s record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 and #2 may not work in a child care position at the facility until compliance with the CPSL is attained. Revise and submit written policies and procedures regarding CPSL hiring requirements to ensure that all facility persons have the required CPSL clearance documentation prior to working with children. Submit a written copy of the revised CPSL hiring policies and procedures. Submit a copy of the completed CPSL clearance documents.